Metairie, LA

East Jefferson General Hospital - SNF

5-star overall rating with 5-star inspections with 2 recent health deficiencies

4200 Houma Blvd, Metairie, LA

(504) 503-4699

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

49

Certified beds

Average residents

21

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1986-06-03

CMS approved date

Coverage

Medicare

Participation flags

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

4.58

Registered nurse staffing · state 0.32 · national 0.68

LPN hours / resident day

1.52

Licensed practical nurse staffing · state 1.18 · national 0.87

Aide hours / resident day

2.21

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

8.32

All reported nurse hours · state 3.81 · national 3.89

Licensed hours

6.11

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

7.01

Weekend nurse staffing · state 3.26 · national 3.43

Weekend RN hours

3.24

Weekend registered nurse coverage · state 0.22 · national 0.47

Physical therapist

0.44

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

4.54

CMS adjusted RN staffing hours

Adjusted total hours

8.25

CMS adjusted total nurse staffing hours

Case-mix index

1.38

Higher values indicate more complex resident acuity

RN turnover

25%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

28%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

93

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

86.54

Composite VBP score used to determine payment impact.

Payment multiplier

1.0269

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.96

Baseline 23.04% · Performance 19.16% · Measure score 5.96 · Achievement 4.91 · Improvement 5.96

Healthcare-associated infections

10

Baseline 4.68% · Performance 3.95% · Measure score 10 · Achievement 10 · Improvement 9

Total nurse turnover

10

Baseline 19.44% · Performance 21.43% · Measure score 10 · Achievement 10 · Improvement 0

Adjusted total nurse staffing

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 13.03%
10.72%
2.3 pts worse
No Different than the National Rate · Eligible stays 372 · Observed rate 14.25% · Lower 95% interval 10.55%
Discharge to community 76.84%
50.57%
26.3 pts better
Better than the National Rate · Eligible stays 276 · Observed rate 72.83% · Lower 95% interval 71.48%
Medicare spending per beneficiary 0.67
1.02
0.3 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 231 · Denominator 231
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 231
Discharge self-care score 55.61%
53.69%
1.9 pts better
Numerator 104 · Denominator 187
Discharge mobility score 49.73%
50.94%
1.2 pts worse
Numerator 93 · Denominator 187
Pressure ulcers or injuries, new or worsened 2.6%
2.29%
0.3 pts worse
Numerator 6 · Denominator 231 · Adjusted rate 3.02%
Healthcare-associated infections requiring hospitalization 3.95%
7.12%
3.2 pts better
Better than the National Rate · Eligible stays 201 · Observed rate 0.5% · Lower 95% interval 1.92%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 134
Staff flu vaccination coverage 71.35%
42%
29.3 pts better
Numerator 254 · Denominator 356
Discharge function score 35.83%
56.45%
20.6 pts worse
Numerator 67 · Denominator 187
Transfer of health information to provider 82.79%
95.95%
13.2 pts worse
Numerator 178 · Denominator 215
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 20%
25.2%
5.2 pts worse
Numerator 20 · Denominator 100

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 43.4%
83.6%
40.2 pts worse
81.7%
38.3 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 40.1% · Q2 45.3% · Q3 45.0% · Q4 43.3% · 4Q avg 43.4%
Percentage of short-stay residents who had an outpatient emergency department visit 5.8%
14.7%
8.9 pts better
12.0%
6.2 pts better
Short Stay · 20240701-20250630 · Adjusted 5.8% · Observed 6.0% · Expected 11.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 2.7%
3.3%
0.6 pts better
1.6%
1.1 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 3.2% · Q3 4.5% · Q4 2.2% · 4Q avg 2.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 90.1%
76.2%
13.9 pts better
79.7%
10.4 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 29.7%
27.8%
1.9 pts worse
23.9%
5.8 pts worse
Short Stay · 20240701-20250630 · Adjusted 29.7% · Observed 29.7% · Expected 23.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-13 · Fire 2025-02-13

2 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-02-29 · Fire 2024-02-29

1 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-02-23 · Fire 2023-02-23

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-02-29

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-03-04

D · Potential for more than minimal harm 2024-02-29

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-03-01

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-02-13

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-03-17

D · Potential for more than minimal harm 2025-02-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-17

D · Potential for more than minimal harm 2024-02-29

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-04-12

Penalties and ownership

What sits behind the stars

Ownership

Louisiana Children's Medical Center

5% Or Greater Direct Ownership Interest · Organization

100% 2 facilities 2023-01-01
Feirn, Gregory

Corporate Director · Individual

0% 2 facilities 2023-01-01
Feirn, Gregory

Corporate Officer · Individual

0% 2 facilities 2023-01-01
Lagarde, Maurice

Operational/Managerial Control · Individual

0% 1 facilities 2023-03-01
Lagarde, Maurice

Corporate Director · Individual

0% 1 facilities 2023-03-01
Lagarde, Maurice

Corporate Officer · Individual

0% 1 facilities 2023-03-01

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